Individual
IRINA KHACHATRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-5750
Mailing address
700 LAWRENCE EXPY DEPT 230, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A141010
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/30/2014
Last updated
02/11/2022
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